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1144586934
OMER S AL-BUOSHKOR
INDIANAPOLIS, IN
NPI
1144586934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01074323A)
Enumeration Date
2012-04-05
Last Update Date
2021-01-26
Business Address
OMER S AL-BUOSHKOR MD
550 UNIVERSITY BLVD UH 1501
INDIANAPOLIS, IN 46202-5149
Phone number: 317-948-1310
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Mailing Address
OMER S AL-BUOSHKOR MD
250 N SHADELAND AVE SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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